Individual
EVAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1103 KALISTE SALOOM RD STE 100&102, LAFAYETTE, LA 70508-5783
(225) 274-5148
Mailing address
100 WINDCHASE DR, LAFAYETTE, LA 70508-6546
(225) 274-5148
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
1O
LA
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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